05D2057766 CLIA NUMBER - SAFEWAY PHARMACY #0705

Laboratory Demographics

  • CLIA Code: 05D2057766
  • Facility Name: SAFEWAY PHARMACY #0705
  • Facility Address: 570 N SHORELINE BLVD
    MOUNTAIN VIEW, CA
    ZIP 94043
  • Facility Phone: 650 961-4851
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHEN LEUNG
  • NPI Number: 1942246558
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2057766
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0705
Street 570 N SHORELINE BLVD
City MOUNTAIN VIEW
State CA
ZIP 94043
Phone 650 961-4851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director STEPHEN LEUNG

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This page was last updated on: 9/29/2025